Developmental trajectories of internalizing problems among individuals born very preterm/very low birthweight: early risk and resilience factors.

Individuals born very preterm (VPT; < 32 weeks) or with very low birthweight (VLBW; < 1500 g) are at higher risk for internalizing problems compared to those born at term (37–42 weeks) or with normal birthweight (> 2500 g). However, group-level comparisons often overlook individual differences withi...

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Publicado en:European Child & Adolescent Psychiatry Vol. 34; no. 10; pp. 3197 - 3209
Autores principales: Zhou, Yanlin, Bartmann, Peter, Tsalacopoulos, Nicole, Wolke, Dieter
Formato: research tables/charts Journal Article
Publicado: Springer Nature Oct2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2025
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      pub: Springer Nature
      place: New York, New York
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        atl: Developmental trajectories of internalizing problems among individuals born very preterm/very low birthweight: early risk and resilience factors.
      aug:
        au:
          Zhou, Yanlin
          Bartmann, Peter
          Tsalacopoulos, Nicole
          Wolke, Dieter
        affil: https://ror.org/01a77tt86 Department of Psychology, University of Warwick, University Road, Coventry, UK
      sug:
        subj:
          Infant, Premature Psychosocial Factors
          Infant, Very Low Birth Weight Psychosocial Factors
          Internalizing Behavior Risk Factors
          Internalizing Behavior Risk Factors
          Internalizing Behavior Risk Factors
          Hardiness Evaluation
          Neurodevelopment
          Temperament
          Social Factors
          Parenting
          Risk Assessment
          Human
          Germany
          Child
          Adolescence
          Adult
          Funding Source
          Secondary Analysis
          Male
          Female
          Prospective Studies
          Structured Interview
          Parents
          Scales
          Language Tests
          Checklists
          Multiple Logistic Regression
          Gestational Age
          Low Socioeconomic Status
          Birth Weight
          Parent-Infant Relations
          Odds Ratio
          Post Hoc Analysis
          Sensation Disorders
          Nervous System Diseases
          Shyness
          Random Sample
          Interview Guides
          Dyadic Adjustment Scale
          Confidence Intervals
          Descriptive Statistics
          Child: 6-12 years
          Adolescent: 13-18 years
          Adult: 19-44 years
          Male
          Female
      ab: Individuals born very preterm (VPT; < 32 weeks) or with very low birthweight (VLBW; < 1500 g) are at higher risk for internalizing problems compared to those born at term (37–42 weeks) or with normal birthweight (> 2500 g). However, group-level comparisons often overlook individual differences within these populations. Using data from the Bavarian Longitudinal Study, a German population-based birth cohort, this study aims to investigate developmental trajectories of internalizing problems from childhood to adulthood in 368 VPT/VLBW individuals and to identify early-life neonatal, family, neurodevelopmental, and social factors associated with these trajectories. Growth mixture modeling of parent-reported internalizing problems at ages 6, 8, 13, and 26 revealed three distinct trajectories: 61.7% exhibited consistently low levels of internalizing problems, 21.7% showed increasing problems, and 16.6% showed decreasing problems over time. Compared to the consistently low group, the increasing group had lower socioeconomic status at birth, lower gestational age, and more neurosensory impairments; while the decreasing group was characterized by higher family adversity, greater shyness and emotionality, higher birthweight, and fewer parent–infant relationship problems. Multiple births were associated with a higher likelihood of exhibiting consistently low internalizing problems rather than the increasing or decreasing trajectories. Early interventions targeting higher-risk groups—such as those with lower gestational age, neurosensory impairments, socioeconomic disadvantages, family adversity, or challenging temperaments—and promoting resilience factors like positive parenting, have the potential to improve long-term mental health outcomes for VPT/VLBW individuals.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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